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The Frontline Health and Health Care Workforce Who are they, what are their issues, and why should we care? Investing in

The Frontline Health and Health Care Workforce Who are they, what are their issues, and why should we care? Investing in Healthcare’s Human Capital Health Professions Network Meeting Jennifer Schindel PhD Health Workforce Solutions LLC. March 17, 2006. Why focus on this workforce segment?.

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The Frontline Health and Health Care Workforce Who are they, what are their issues, and why should we care? Investing in

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  1. The Frontline Health and Health Care Workforce Who are they, what are their issues, and why should we care? Investing in Healthcare’s Human Capital Health Professions Network Meeting Jennifer Schindel PhD Health Workforce Solutions LLC March 17, 2006

  2. Why focus on this workforce segment? Goal: Target the segment of the healthcare workforce that… • Has a high level of direct impact on patient care • Plays a major role in quality and cost of care and services And yet… • Possess minimal opportunities to direct and enhance their own career trajectory • Is generally underrepresented within research efforts targeting the health and health care workforce

  3. The Frontline Health and Health Care Workforce • ~ 12.3M workers deliver direct patient care and services • ~ 6.5M of these workers represent the profiled frontline workforce 12.3M Doctors, Nurses, Dentists, all healthcare support roles 6.5M Frontline Workforce Source: Bureau of Labor Statistics 2004 Occupational Employment Statistics

  4. What occupations constitute this workforce? • High levels of direct care or service • Education levels generally at a Bachelor degree or below* • Median annual wage ~ $40,000 or less * Some occupations with advanced degrees were included in this study when there was a wide range of education level within the profession (e.g. Counselors).

  5. Profiled Frontline Workforce Occupations Allied health Mental health Long-term care Public health

  6. Demographics • 79% Female • 28% African American or Hispanic Male 28% African American/Hispanic 21% 67% White Female 79% Source: Employment and Earnings, Bureau of Labor Statistics, January 2005 NOTE: For some occupational categories, BLS aggregated demographic data across several occupations. Thus, some data for related occupations not included in this study are aggregated into these number.

  7. Demographics (cont.) Several occupations report significant aging worker populations: • Average age of Long-Term Care Workers = 48 • Average age of Health Educators = 47 • 30% of Social Workers and 48% of Certified Counselors are over the age of 55 • 50% of Clinical Lab Technicians will be eligible for retirement by 2010

  8. Wage Outlook 2004 Mean Annual Wage for all FLWF Occupations = $31, 463 Source: Bureau of Labor Statistics 2004 Occupational Employment Statistics

  9. Wage Outlook (cont.) Source: Bureau of Labor Statistics 2004 Employment and Wage Statistics

  10. 2002-2012 Employment Growth 10,000,000 8.6M 31.7% increase 8,000,000 6.5M 6,000,000 4,000,000 2,000,000 0 2002 Employment 2012 Employment 2002-2012 Employment Growth + Separations 9.7M 10,000,000 48.6% increase 8,000,000 6.5M 6,000,000 4,000,000 2,000,000 0 2002 Employment 2012 Employment + Sep. Occupational Projections Source: Bureau of Labor Statistics 2004-2005 Occupational OutlookHandbook

  11. Outlook • Large and growing workforce segment • Important contributors to health and heath care and service continuum • High rates of turnover/vacancy (retirement, leaving occupational group) • Poor visibility and recognition • Low wages and access to benefits • Limited training and supervision • Obstacles to promotion and cross-over to other roles

  12. Spotlight on: Substance Abuse/ Behavior Disorder Counselors NOTE: “All Health and Health Care Occupations” is an aggregate of the BLS employment categories: Community and Social Services Occupations, Healthcare Practitioners and Technical Occupations, and Healthcare Support Occupations.

  13. Substance Abuse/Behavioral Disorder Counselors (cont.)

  14. Substance Abuse/Behavioral Disorder Counselors (cont.)

  15. Spotlight on: Radiologic Technicians

  16. Radiologic Technicians (cont.)

  17. Radiologic Technicians (cont.)

  18. Future shifts and trends • Impact of aging population • Increasingly diverse workforce and general population will require greater cultural competencies • Emerging technologies will require expanded skill set

  19. Summary • High projected job growth and significant turnover issues • Cultural competency increasingly important for patient care and employment settings • Many workers facing low wages and limited access to benefits • Need for increased job training opportunities • Entry routes • Certification opportunities • Career ladders and professional development • Need for employer education to effectively supervise and support frontline workers

  20. Presented at: “Investing in Healthcare’s Human Capital.” Health Professions Network Meeting: March 16-19, 2006 Atlanta, GA For more information, please contact: Jennifer Schindel PhD Health Workforce Solutions LLC jenns@healthws.com 415-387-4301 www.healthws.com

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